CN1622788A - Surgical tool - Google Patents
Surgical tool Download PDFInfo
- Publication number
- CN1622788A CN1622788A CNA028285050A CN02828505A CN1622788A CN 1622788 A CN1622788 A CN 1622788A CN A028285050 A CNA028285050 A CN A028285050A CN 02828505 A CN02828505 A CN 02828505A CN 1622788 A CN1622788 A CN 1622788A
- Authority
- CN
- China
- Prior art keywords
- tool
- lever
- handle
- main part
- surigical tool
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
- A61B17/3213—Surgical scalpels, knives; Accessories therefor with detachable blades
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00362—Packages or dispensers for MIS instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable for use with different instruments
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本发明涉及一种外科手术工具,而更具体地说,涉及一种手持式外科手术工具如钳子或镊子、剪刀、扁嘴钳、解剖刀和探针等,上述工具例如由眼科医生和整形外科医生在外科手术或显微外科手续期间使用。The present invention relates to a surgical tool, and more particularly, to a hand-held surgical tool such as pliers or tweezers, scissors, flat-nosed pliers, scalpel, probe, etc., such as used by ophthalmologists and plastic surgeons. Used by doctors during surgical or microsurgical procedures.
目前,有成千上万不同的手持式外科手术或显微外科手术工具,上述不同的手持式外科手术或显微外科手术工具用来对人体或动物体施行各种不同的手术。通常,每种工具都具有一个功能尖头,上述功能尖头用金属或其它类似材料与一个柄整体式形成。例如,钳子或镊子一般由两件金属形成,上述两件金属在一端处焊接在一起,以便在另一端处形成具有可对置尖头的整体柄,上述可对置的尖头通常相互间隔开。当各臂受挤压时,它们弹性变形,以便使各尖头一起夹紧和/或操纵位于它们之间的组织。Currently, there are thousands of different hand-held surgical or microsurgical tools that are used to perform various procedures on the human or animal body. Typically, each tool has a functional point integrally formed with a shank of metal or other similar material. For example, pliers or tweezers are typically formed from two pieces of metal that are welded together at one end to form an integral handle at the other end with opposable prongs, usually spaced apart from each other . When the arms are squeezed, they deform elastically so that the prongs together grip and/or manipulate tissue located between them.
用目前采用的工具类型存在的问题是,市场具有完全不同的柄的设计、重量和感官的多个种类,因此外科医生必须精通和适应许多不同的仪器,以便他/她能在它们特定的专业领域中完全胜任。即使外科医生常常只用成千上万可用工具中的一个分组,例如,一位眼科医生将只用具有用于眼外科手术如白内障手术所需尖头的那些工具,但他们仍发现这些工具中大多数的柄彼此有很大不同。当外科医生使用由同一公司制造的一定范围内工具,而不是全部工具时, 这种情况将会加重。因而外科医生必需精通由每个公司制造的工具重量、感觉和设计,此外精通由那个公司所生产的每个单独工具。在涉及外科手术那儿给错误和精密控制留有很小余地并且熟悉所有外科手术设备很重要的情况下,这显然是个缺点。The problem with the types of tools currently in use is that the market has multiple varieties of disparate handle designs, weights and feel, so the surgeon must become proficient and comfortable with many different instruments so that he/she can use them in their particular specialty. fully competent in the field. Even though surgeons often only use one grouping of thousands of tools available, for example, an ophthalmologist will only use those tools with the pointed points needed for eye surgery such as cataract surgery, they still find that most of these tools Most shanks are quite different from each other. This situation will be exacerbated when the surgeon uses a range of tools manufactured by the same company, but not all tools. It is thus necessary for the surgeon to be proficient in the weight, feel and design of the tools manufactured by each company, in addition to being proficient in each individual tool produced by that company. This is obviously a disadvantage where surgery is involved where there is little room for error and fine control and where familiarity with all surgical equipment is important.
显微外科手术工具通常由一些高级原料如金属钛制造,以便保证尽管重复消毒和处理它们也具有一个合理的使用寿命。尽管一些工具在一次使用之后弃去,但许多医院不愿在常规外科手术工具情况下这样做,因为它们的成本高。当柄和工具尖头整体形成时,每种工具价钱都贵,因为柄用与工具尖头相同的材料制造。尽管能用其它材料如不锈钢制造工具,但它们更快地变质并且必需立即丢掉。这个问题可以通过用不同的材料分开制造柄和工具尖头减少。然而,各部件然后必需极为准确而小心的焊接或用别的方法固定在一起,上述方法很困难并且耗时间。因此,由于相互分开制造柄和工具尖头的结果,未达到成本的显著减少,因为一旦它们制成,就存在接合各元件的问题。Microsurgical tools are usually manufactured from some high-grade material such as titanium metal in order to ensure that they have a reasonable service life despite repeated sterilization and handling. Although some tools are discarded after a single use, many hospitals are reluctant to do so with conventional surgical tools because of their high cost. When the shank and tool point are integrally formed, each tool is more expensive because the shank is made of the same material as the tool point. Although tools can be made from other materials such as stainless steel, they deteriorate more quickly and must be thrown away immediately. This problem can be reduced by making the shank and tool point separately from different materials. However, the parts must then be welded or otherwise fastened together with great precision and care, which is difficult and time consuming. Thus, as a result of manufacturing the shank and the tool point separately from each other, no significant cost reduction is achieved, since once they are manufactured there are problems of joining the elements.
本发明的目的是克服和/或减少用上述常规外科和/或显微外科工具存在的问题。It is an object of the present invention to overcome and/or reduce the problems with conventional surgical and/or microsurgical tools described above.
按照本发明,提供了一种外科手术工具,上述外科手术工具包括一个细长的模制的柄和一种基本上是平的细长的工具构件,上述细长的模制的柄具有一个主体部分和一个基底部分,而上述工具构件具有一个尖头部分,柄限定一个细长的缝隙,所述细长的缝隙由主体部分和基底部分中相应的通道形成,每个通道都加工成能容纳工具构件的一个边缘,使工具构件位于一个平面中,所述平面基本上与主体部分和基底部分沿着其接合的一个平面成直角。In accordance with the present invention there is provided a surgical tool comprising an elongate molded handle and a substantially flat elongate tool member, the elongate molded handle having a main body part and a base part, while the above-mentioned tool member has a pointed part, the shank defines an elongated slot formed by corresponding channels in the body part and base part, each channel is machined to accommodate An edge of the tool member such that the tool member lies in a plane substantially at right angles to a plane along which the body portion and the base portion join.
工具构件必需充分地支承在柄内。通过提供在主体部分和基底部分二者中由相应通道所形成的缝隙,工具可以沿着设置在柄内部的至少它的一部分长度支承,因而防止工具的任何侧向运动。The tool member must be adequately supported within the shank. By providing a gap formed by a corresponding channel in both the body part and the base part, the tool can be supported along at least a part of its length disposed inside the handle, thus preventing any lateral movement of the tool.
在一个实施例中,将用于控制工具构件的一个执行机构安装在柄内的一个细长孔隙中。执行机构能控制钳子、镊子和扁嘴钳。可以设想,其它类型不需要执行机构的工具构件也可以安装在柄中,在上述情况下执行机构将仅仅帮助把工具构件保持在柄中,并且不实施其它的功能。In one embodiment, an actuator for controlling the tool member is mounted in an elongated aperture in the handle. The actuator controls pliers, tweezers and flat nose pliers. It is contemplated that other types of tool members that do not require an actuator could also be mounted in the handle, in which case the actuator would only assist in retaining the tool member in the handle and perform no other function.
优选的是,执行机构包括一个杠杆,所述杠杆包括一个第一端和一个第二端,上述第一端固定地安装在主体部分内的孔隙中,而上述第二端当把一个压力加到上述第二端上时相对于第一端和主体部分朝基底部分方向偏斜到柄中。Preferably, the actuator comprises a lever comprising a first end fixedly mounted within an aperture in the body portion and a second end which when a pressure is applied to The second end is deflected into the handle relative to the first end and the body portion toward the base portion when on.
合适的是,一个桥接体把主体部分中的孔隙分成两个分开的开口和一个杠杆在第一端和第二端之间的区域,上述区域越过桥接件而延伸。这使杠杆能在杠杆的第二端减压时在它越过桥接件而延伸的区域中变形,第一端固定式安装在主体部分的孔隙中。Suitably, a bridge divides the aperture in the body portion into two separate openings and a region of the lever between the first end and the second end, said region extending across the bridge. This enables the lever to deform in the region where it extends across the bridge when the second end of the lever is decompressed, the first end being fixedly mounted in the aperture of the body part.
优选的是,杠杆的第一端包括在其上的一个细长连接件,所述连接件加工成一定尺寸,以便适贴配合在主体部分和桥接件之间的一个开口中,来将杠杆安装到主体部分上,因此杠杆越过桥接件而延伸的区域随着把压力加到杠杆的第二端上而变形。Preferably, the first end of the lever includes an elongate connector thereon, said connector being dimensioned to fit snugly in an opening between the body portion and the bridge to mount the lever To the main body, the area where the lever extends across the bridge thus deforms as pressure is applied to the second end of the lever.
连接件可以比开口的长度更长,并且有利的是可以在主体部分从开口延伸的下侧中形成一个切口,以便容纳构件延伸到开口外面的部分。The connector may be longer than the length of the opening and may advantageously be formed with a cutout in the underside of the body portion extending from the opening to accommodate the portion of the member extending outside the opening.
有利的是,杠杆的上表面加工成一定外形以便与主体部分的外表面齐平。Advantageously, the upper surface of the lever is contoured to be flush with the outer surface of the body portion.
工具构件优选的是包括具有两个相对臂的钳子或镊子,上述两个相对臂从一个整个彀体延伸到每个臂远端处的尖头部分,上述两臂可弹性变形,以使每个臂的尖头部分接触。The tool member preferably comprises pliers or tweezers with two opposing arms extending from an entire hub body to a pointed portion at the distal end of each arm, the arms being elastically deformable so that each The tip of the arm touches.
在一个优选实施例中,一个臂容纳和安装在基底部分内的通道中,而另一个臂容纳和安装在主体部分内的通道中,同时上述各臂的尖头部分穿过孔隙从柄中伸出。In a preferred embodiment, one arm is received and mounted in a channel in the base portion and the other arm is received and mounted in a channel in the body portion, while the pointed portion of each arm extends from the handle through the aperture. out.
在主体部分中所形成的通道的一个延伸部分可以方便地在杠杆中形成,以便容纳在主体部分内通道中的臂也容纳在杠杆内的通道中,因此当把压力加到杠杆的第二端上时,把保持在杠杆内通道中的臂朝另一个臂方向推,以便接触尖头部分的端部,当压力解除时,臂和杠杆的弹性把它向后推向它的原始位置。应该理解,只有一个臂相对于柄朝另一个臂方向移动,而不是象用常规钳子和镊子的情况下的两臂都移动。事实是一个臂相对于柄保持固定,其提供的优点是闭合工具尖端以便夹紧很小物品、并具有高准确度要容易得多,因为固定工具尖头可以定位,并且另一个工具尖头通过杠杆的起动朝向它。An extension of the channel formed in the body part may conveniently be formed in the lever so that the arm received in the channel in the body part is also received in the channel in the lever so that when pressure is applied to the second end of the lever When going up, push the arm held in the channel in the lever towards the other arm so as to contact the end of the pointed part, and when the pressure is released, the elasticity of the arm and lever pushes it back towards its original position. It will be appreciated that only one arm moves relative to the handle towards the other arm and not both arms as is the case with conventional pliers and tweezers. The fact that one arm remains fixed relative to the shank provides the advantage that it is much easier to close the tool tip for gripping very small items with high accuracy, since the fixed tool tip can be positioned and the other tool tip passed through The trigger of the lever is towards it.
优选的是,由通过尖头部分伸出的孔隙在基底部分中形成,上述基底部分的通道在孔隙处终止。Preferably, an aperture is formed in the base portion by an aperture protruding through the pointed portion, the channel of said base portion terminating at the aperture.
在一个优选实施例中,基底部分包括一个整体形成的竖立式鼻头状分段,上述鼻头状部分限定柄的端部,孔隙在上述柄的端部中形成。In a preferred embodiment, the base portion includes an integrally formed upstanding nose section, said nose portion defining the end of a shank in which the aperture is formed.
优选的是,主体部分的一端包括一个凹槽,当主体部分和基底部分连接在一起时,上述凹槽容纳基底部分的鼻头状分段。Preferably, one end of the body portion includes a recess for receiving the nose section of the base portion when the body portion and base portion are joined together.
基底部分和主体部分包括协同操作装置,以便能将主体部分连接到基体部分上。The base portion and the body portion include cooperating means to enable the body portion to be attached to the base portion.
有利的是,协同操作装置包括一对细长的轨道,上述一对轨道悬挂在主体部分的长度下,用于与基底部分中各相应的凹槽接合。Advantageously, the cooperating means comprise a pair of elongate rails depending from the length of the main body portion for engaging respective respective recesses in the base portion.
在一个优选实施例中,工具构件是单一金属元件,所述单一金属元件用一种平薄板通过冲压、冲孔、激光切割、水切割(water cut)、线侵蚀或机加工等形成。In a preferred embodiment, the tool member is a single metal element formed from a flat sheet by stamping, punching, laser cutting, water cutting, wire erosion or machining or the like.
柄优选的是加工成一定外形,以使它能在姆指和食指之间保持成一种笔状夹紧,并能进行精密指尖控制。更优选的是,主体部分和杠杆在压力施加于其上的杠杆第二端的区域中隆起,以便形成一种平滑的凸缘,从而使外科医生能清楚地定位到压力必需施加于其上的杠杆部分上来操作工具构件。The handle is preferably contoured so that it can be held in a pen-like grip between the thumb and forefinger and allow fine fingertip control. More preferably, the main body portion and the lever are raised in the region of the second end of the lever on which pressure is applied, so as to form a smooth ledge so that the surgeon can clearly locate the lever on which pressure must be applied Partially come up to operate the tool components.
优选的是,本发明的外科手术工具可以消毒供重复使用。然而,由于工具构件现在是一种小得多的元件,因为它安装在塑料柄中而不是与由相同材料制成的柄成为整体,所以本发明的工具制造价格便宜得多。因此可以设想,由于比较低的制造成本,所以本发明的工具将在一次使用之后弃去。这是一种特殊的优点,因为它省去了对可能不完全有效的工具消毒。另外近来变得显而易见的是,VCJD(疯牛病的人体形态)由于实施标准消毒手续的结果而不完全被破坏。不仅这意味着用来对不同人进行外科手术所使用的同一工具可能使他们全都感染,而且它也可能造成其它工具在同一清洗和消毒过程中清洗的交叉污染。Preferably, the surgical tools of the present invention can be sterilized for repeated use. However, since the tool member is now a much smaller element because it is mounted in the plastic handle rather than being integral with a handle made of the same material, the tool of the present invention is much cheaper to manufacture. It is therefore conceivable that the tool of the invention will be discarded after one use due to the relatively low manufacturing costs. This is a particular advantage because it eliminates the need to sterilize tools that may not be fully effective. It has also recently become apparent that VCJD (the human form of mad cow disease) is not completely destroyed as a result of standard disinfection procedures. Not only does this mean that the same tool used to perform surgery on different people can infect them all, but it can also cause cross-contamination of other tools that are cleaned in the same cleaning and disinfection process.
现在参照附图,仅是作为例子,说明本发明的一些实施例,其中:Referring now to the drawings, some embodiments of the invention are illustrated, by way of example only, in which:
图1A是按照本发明所述的一种外科手术工具的立体图;Figure 1A is a perspective view of a surgical tool according to the present invention;
图1B是图1所示外科手术工具侧视图;Figure 1B is a side view of the surgical tool shown in Figure 1;
图2A是图1和2中所示外科手术工具柄的基底部分的立体图;Figure 2A is a perspective view of the base portion of the surgical tool handle shown in Figures 1 and 2;
图2B是图2A中所示的基底部分俯视图;Figure 2B is a top view of the base portion shown in Figure 2A;
图2C是图2A和2B所示的基底部分侧视图;Figure 2C is a side view of the portion of the base shown in Figures 2A and 2B;
图3A是图1和2中所示外科手术工具柄的主体部分的立体图;Figure 3A is a perspective view of the main body portion of the surgical tool handle shown in Figures 1 and 2;
图3B是图3A中所示的主体部分的俯视图;Figure 3B is a top view of the main body shown in Figure 3A;
图3C是图3A和3B中所示的主体部分侧视图;Figure 3C is a side view of the body portion shown in Figures 3A and 3B;
图4A是杠杆的立体图;Figure 4A is a perspective view of a lever;
图4B是图1中所示杠杆的仰视图;Figure 4B is a bottom view of the lever shown in Figure 1;
图4C是图4A和4B中所示杠杆的侧视图;Figure 4C is a side view of the lever shown in Figures 4A and 4B;
图5是图1和2中所示的外科手术工具的部件分解图;Figure 5 is an exploded view of the surgical tool shown in Figures 1 and 2;
图6是图1中示出的外科手术工具纵向立体剖视图;Figure 6 is a longitudinal perspective cross-sectional view of the surgical tool shown in Figure 1;
图7是示出安装在图1A、1B和图6的柄内的工具构件的立体图;Figure 7 is a perspective view showing a tool member mounted within the handle of Figures 1A, 1B and 6;
图8A-8C分别是按照本发明所述的外科手术工具一个第二实施例的一个侧视图,一个沿着俯视图中线段A-A剖开的侧剖图,和一个俯视图;8A-8C are respectively a side view of a second embodiment of a surgical tool according to the present invention, a side sectional view taken along line A-A in the top view, and a top view;
图9A-9C分别是图8A--8C中所示的外科手术工具,但具有一种固定式而不是可操作式安装在柄中的工具构件的一个侧视图,一个沿着俯视图中的线段A-A剖开的侧剖图,和一个俯视图;Figures 9A-9C are a side view of the surgical tool shown in Figures 8A-8C, respectively, but with a tool member fixed rather than operatively mounted in the handle, one along line A-A in the top view A cutaway side view, and a top view;
图10A-10C分别是按照本发明所述的外科手术工具一个第三实施例的一个侧视图,一个沿着俯视图中线段A-A剖开的侧剖图,和一个俯视图;及10A-10C are a side view of a third embodiment of a surgical tool according to the present invention, a side sectional view taken along line A-A in the top view, and a top view, respectively; and
图11A和11B示出许多不同工具构件的一些例子,上述许多不同工具构件可以与按照本发明一些实施例所述的外科手术工具一起使用。11A and 11B illustrate some examples of the many different tool components that may be used with surgical tools according to some embodiments of the present invention.
现在参见各附图,图中示出了一种按照本发明一个实施例所述的外科手术工具1,所述外科手术工具1包括一个柄2,上述柄2由一个第一半圆柱形基底部分3和一个第二半圆柱形主体部分4的两个细长的一半形成。在柄2的端部6中设置一个孔隙5,安装在柄2内的一种外科手术工具构件7的一部分从上述柄2的端部6中伸出。一个执行机构或杠杆8安装在主体部分4内的一个孔隙9中,并保持与主体部分4的成形外表面齐平。Referring now to the drawings, there is shown a surgical tool 1 according to one embodiment of the present invention, said surgical tool 1 comprising a
现在将参照图2A-2C更详细说明基底部分3,从图2A-2C可以看出,柄的端部6具有一个变圆的鼻头状部分10,所述鼻头状部分10从基底部分3的上面敞开部分竖起。孔隙5在鼻头状部分10中表现为拱形缝隙的形式。从孔隙5向后延伸并可通过孔隙5接近的是一个纵向中心通道11,所述纵向中心通道延伸基体部分3的大约一半长度。通道11具有两个隆起的侧壁12,所述隆起的侧壁12用于直接在孔隙9后面的一个短段,侧壁12终止于一个凸肩13中,所述凸肩13处两侧下降到下面侧壁14。由于显而易见的原因,两个隆起的侧壁12提供比在下面侧壁13中延伸的通道11更深的通道11。The
一对细长的凹槽15在基底部分3中的每一侧上形成,并平行于中间通道11。这些凹槽15基本上延伸基底部分的整个长度,并能将基底部分3连接到主体部分4上,正如将要说明的。A pair of
现在将参照图3A-3C说明主体部分4,从图3A-3C可以看出,它具有一个凹槽16,以便当组装这些元件时,容纳从基底部分3敞开的表面竖起的鼻头状部分10。相对端具有一部分为球形的整体形成的帽17,上述帽17闭合柄2与在其中形成孔隙5的端部6相对的端部。一个细长的开口18通过连接件或桥接件19分成两个部分18a,18b,上述细长的开口18在主体部分4中形成,以便在其中容纳和安装杠杆8,正如将要说明的。在主体部分4的下侧上,一个纵向中间通道20从凹槽16延伸到细长的开口18b。在开口的相对端处,在主体部分4中形成一个切口21或空腔。The
一对轨道22沿着主体部分4边缘悬挂在主体部分4的下侧上。这些轨道22协同操作,并接合在基底部分内的凹槽15中,以便将基底部分3和主体部分4连接在一起。A pair of rails 22 are suspended on the underside of the
在每一端处具有一个孔24的沟槽23也在主体部分4中邻近整体形成的帽17处形成。将具有两个销钉26的一个构件25(见图5)装配到沟槽23中,上述两个销钉26通过一个头部27连接,同时每个销钉安装在一个孔24中。构件25可以着与柄的其它部分不同的颜色,以便表明安装于其中的工具构件类型。可供选择地,或者除此之外,在头部27上可以有标识语或其它信息。如果需要,构件25可以很容易除去和/或更换。A channel 23 having an aperture 24 at each end is also formed in the
现在将参照图4A-4C说明杠杆8。杠杆8是一个整体的塑料元件,所述塑料元件具有一个第一端30和一个第二端31,上述第一端30用于将杠杆8连接到主体部分4上,而上述第二端31可以把压力加于其上以便驱动位于柄2中的工具构件7。杠杆8具有一个上面主体部分32,所述上面主体部分32在第一和第二端30,31之间延伸,并具有一个加宽的隆起部分,以便在第二端31处形成一个操作按钮33。在第二端31的区域中从上面主体部分32向下延伸的是一对平行的细长壁部分34,在上述一对平行的细长壁部分34之间限定一个通道35。壁部分34向后朝向第一端30延伸,但是在沿着上面主体部分32的长度约三分之二处终止。用于将杠杆8连接到主体部分4上的一个定位件36设置在第一端30的下侧上,并稍微伸出到上面主体部分32的端部外面,以便形成一个翼片37。在定位件36和两平行的细长壁34之间形成一个间隙38,上述间隙38的长度与主体部分4中所形成的连接件或桥接件19的长度类似。The
可以把许多不同的外科手术工具构件安装在柄2内。在图7中示出一种工具构件7的例子。这个工具构件7代替常规的钳子或镊子,并具有一对从一个彀体41延伸的相对的细长臂40a,40b。臂40a,40b在尖头部分43末端处的尖头42可以通过朝X所表示的方向挤压它们而闭合在一起。在每个臂40a,40b上都形成面对的协同操作的突起44,上述协同操作的突起44接合,以防止当各尖头42闭合时将过大压力加到臂40a,40b上。工具构件7用一种平金属板如钛板形成一个部件,并可以用比目前所应用的金属车削法成本低的方法制造。这些加工方法可以包括冲孔、冲压、激光切割、水力切割、线侵蚀或一种机加工方法。此外,当用不同材料把工具构件7和柄2形成为单个元件时,高级的昂贵材料的使用能够保持最低,工具构件7比具有整体形成的柄的常规工具小得多。Many different surgical tool components can be mounted within the
现在将参照图5的部件分解图说明工具的组装。首先将一个选定的工具构件如图7所示的构件(但在图5中未示出)通过使工具尖头穿过孔隙5和通过将工具构件压入通道11中连接到基底部分3上,以便由此沿着它的长度基本上将它全部保持在基底部分3内。接着,将主体部分4朝箭头A所指方向下放到基底部分3上,以便每个轧道22都位于基底部分3内的凹槽15中。主体部分4中的凹槽16围绕鼻头状部分10,并且帽17闭合柄2远离孔隙5的端部。应该理解,在这个步骤期间,不保持在基底部分内的通道11中的工具构件7的部分位于主体部分4内的通道20中。主体部分4和基底部分3可以用树脂或粘结剂材料密封和接合在一起。Assembly of the tool will now be described with reference to the exploded view of FIG. 5 . First a selected tool member as shown in FIG. 7 (but not shown in FIG. 5 ) is attached to the
现在通过将杠杆8朝箭头B的方向下放到孔隙9中使它连接到主体部分4上。定位件36上的翼片37位于主体部分4中的切口21内,并且定位件36适贴式装配在孔隙19a中。连接件或桥接件19位于壁部分34和定位36之间的间隙38中。由壁部分34所形成的通道34形成主体部分4中通道20的延伸部分,并且还容纳一部分工具构件7并且基底部分、主体部分和杠杆8中相应的通道11,20、34一起,在柄中形成一个缝隙,以便容纳一个工具构件。It is now attached to the
图6的侧剖立体图示出如何把图7的工具构件7分别保持在由基体部分3,主体部分4和杠杆8所形成的通道11,20,34中。应该理解,工具在基底部分3内通道11和杠杆8内通道34中是紧密滑动配合,并由此牢牢地被夹持。由于将变得显而易见的原因,通道20比通道11,34稍宽。因为工具7沿着它在柄2内基本上它的整个长度支承在通道11、20、34内,所以防止了工具7的侧向运动。这在图7所示的镊子或钳子工具的情况下尤其重要,因为一个臂40a相对于另一个臂40b的任何侧向运动都会导致尖头42不处于对准状态。应该理解,通道11的各隆起的侧壁12对直接在孔隙5后面区域中的工具构件提供附加的侧向支承。The side cut perspective view of Fig. 6 shows how the
现在将参照图6说明外科手术工具1的操作,所述外科手术工具1具有安装于其中的工具构件7。当朝箭头Y所指的方向把压力施加到操作按钮33上时,杠杆8的上面部分32在越过连接部分19而延伸的区域中变形,并向内朝基底部分3方向偏移,由于孔隙19a中定位件36和切口21中翼片37接合的结果,杠杆8的第一端30牢牢地被夹持。当工具构件7的臂40a容纳在通道34中时,把臂40a朝另一个臂40b方向推,因而闭合工具尖头42。当解除操作按钮33上的压力时,臂40a的回弹性和杠杆8的回弹性使它返回它的原始位置,因而使工具尖头42分开。应该理解,当臂40a朝另一个臂40b方向移动时,臂40a移出主体部分4中的通道20。因此,臂40a在通道20中是一种较松的配合,这种较松的配合通过将它制成比通道11,34宽而实现。The operation of the surgical tool 1 having the
应该理解,将基底部分和主体部分3、4的外表面弄圆,以便提供一种舒适的夹紧表面。杠杆8的主体部分32的外表面也弄圆,并装配成与主体部分4的外表面齐平。柄2人机控制式设计,以便适合在姆指和食指之间保持成一种笔状夹紧,用于工具1的精密控制。It will be appreciated that the outer surfaces of the base portion and
现在将参照图8A-8C说明按照本发明所述的外科手术工具的一个第二实施例。这个实施例与第一个实施例类似,并因此那些相同的零件将不再说明。在这个实施例中,外科手术工具包括一个柄50,所述柄50具有一与第一实施例的柄2相似的构造,并以相同的方式支承一个工具构件51。然而柄50的两个细长的半部52,53如此形成,以便在工具构件51后面的一个区域中产生一个空腔54。工具构件51的端部55保持在一个通道中,所述通道与第一实施例的通道11类似。然而,工具构件通过从柄50细长的一半53竖起的一个易碎的壁部分或制动件56来防止滑入空腔54中。工具构件51的端部处于与易碎的壁部分56接触,正如在图8B的侧剖图中最清楚示出的。A second embodiment of a surgical tool according to the present invention will now be described with reference to FIGS. 8A-8C. This embodiment is similar to the first embodiment, and therefore those same parts will not be described again. In this embodiment, the surgical tool includes a
当外科医生用完工具时,工具构件51可以缩回柄50内部,用于安全处理整个工具。工具构件51的缩回可以通过用一足够的力牢牢地敲击工具构件51的一个表面以使制动件56断开而实现。然后使工具构件51朝图8B中箭头A的方向自由滑入空腔54。When the surgeon is finished with the tool, the
图9A-9C示出与参照图8A-8C所述第二实施例相同的外科手术工具和柄50。然而,在这个实施例中,柄50示出安装于其中的另一种类型工具构件60。这种工具构件60属于固定类型,通过上述工具构件60意味着它不能通过当需要时用如参照图7所述的那些镊子或钳子来驱动一个杠杆操作。这种工具构件的一个例子是一种探针或解剖刀。因此在这个实施例中所示的杠杆61是多余的,并且仅仅用来将工具构件60牢牢地保持在柄50内。Figures 9A-9C show the same surgical tool and handle 50 as the second embodiment described with reference to Figures 8A-8C. In this embodiment, however, the
图10A-10C示出另一个实施例,其中省去了参照第一实施例所述的执行机构或杠杆8,工具构件70保持在柄73两个细长的一半71,72之间。应该理解,这个实施例的柄只能与固定类型的工具一起使用。10A-10C show another embodiment in which the actuator or
图11A示出11种不同工具构件的例子,上述11种不同工具构件可以安装在本发明任一种实施例的柄内。图11B示出9种不同的固定类型的工具构件的例子,上述9种不同的固定类型的工具构件可以选择地安装在本发明任一种实施例的柄内。Figure 11A shows examples of 11 different tool components that may be installed in the handle of any of the embodiments of the present invention. FIG. 11B shows examples of nine different fixation types of tool components that can be selectively installed in the handle of any of the embodiments of the present invention.
很显然,本发明给外科医生提供了一种惯用的柄形状,所述柄形状能夹持所有类型的仪器工具尖头,本发明的某些实施例还提供了用于在使用之后将工具构件缩回到柄中的装置,因而减少了损伤或污染的危险。Clearly, the present invention provides the surgeon with a customary handle shape capable of holding all types of instrument tool tips, and certain embodiments of the present invention also provide for The device retracts into the handle, thus reducing the risk of injury or contamination.
对该技术的技术人员来说,很显然,对本发明的许多修改或变化都落入下面权利要求书的范围内,并且上述说明应看作仅是一些优选实施例的说明。It will be apparent to those skilled in the art that many modifications or variations of the invention fall within the scope of the following claims and that the above description should be considered as that of some preferred embodiments only.
权利要求书claims
(按照条约第19条的修改)(Amended in accordance with
1、一种外科手术工具,包括一个细长的模制的柄和一个基本上是平的细长工具构件,所述模制的柄具有一个主体部分和一个基底部分,而所述工具构件具有一个尖头部分,主体部分和基底部分彼此相对固定,以便当装配工具时形成柄,柄限定一个细长缝隙,所述细长缝隙由主体部分和基底部分中相应的通道形成,每个通道都加工成能容纳工具构件的一个边缘,使工具构件位于一个平面中,所述平面与主体部分和基底部分沿其彼此相对固定的一个平面基本上成直角。1. A surgical tool comprising an elongate molded handle having a body portion and a base portion and a substantially flat elongate tool member, the tool member having A pointed portion, body portion and base portion are fixed relative to each other so as to form a shank when the tool is assembled, the shank defining an elongated slot formed by corresponding channels in the body portion and base portion, each channel being An edge of the tool member is machined so that the tool member lies in a plane substantially at right angles to a plane along which the body portion and the base portion are secured relative to each other.
2.按照权利要求1所述的外科手术工具,其特征在于,一种用于控制工具构件的执行机构安装在柄内的细长孔隙中。2. The surgical tool of claim 1, wherein an actuator for controlling the tool member is mounted in the elongated aperture in the handle.
3.按照权利要求2所述的外科手术工具,其特征在于,所述执行机构包括一个杠杆,所述杠杆具有一个第一端和一个第二端,所述第一端固定地安装在主体部分内的孔隙中,而所述第二端当施加一个压力到该第二端上时,可相对于第一端和主体部分朝基底部分方向偏转到柄中。3. The surgical tool of
4.按照权利要求3所述的外科手术工具,其特征在于,一个桥接件把主体部分中的孔隙分为两个分开的开口,杠杆在第一端和第二端之间的一个区域越过桥接件延伸。4. The surgical tool of
5.按照权利要求4所述的外科手术工具,其特征在于,所述杠杆的第一端在其上包括一个细长的连接件,所述连接件加工成一定尺寸,以便适贴配合在主体部分和桥接件之间的一个开口中,以便将杠杆安装到主体部分上,使得随着将压力施加到杠杆的第二端上,所述杠杆越过桥接件延伸的区域发生变形。5. The surgical tool of
6.按照权利要求5所述的外科手术工具,其特征在于,所述连接件比开口的长度长,并且在从开口处延伸的主体部分的下侧形成一个切口,以便容纳所述连接件延伸到开口外的部分。6. The surgical tool according to
7.按照权利要求3-6其中之一所述的外科手术工具,其特征在于,杠杆的上表面加工成一定外形,以便与主体部分的表面齐平。7. A surgical tool according to any one of claims 3-6, wherein the upper surface of the lever is contoured so as to be flush with the surface of the body portion.
8.按照前述权利要求的任一项所述的外科手术工具,其特征在于,所述工具构件包括具有两个相对臂的钳子或镊子,所述两个相对臂在每8. A surgical tool according to any one of the preceding claims, wherein said tool member comprises forceps or tweezers having two opposing arms, said two opposing arms at each
Claims (23)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0200393A GB2383952B (en) | 2002-01-09 | 2002-01-09 | Surgical Tool |
| GB0200393.7 | 2002-01-09 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1622788A true CN1622788A (en) | 2005-06-01 |
| CN100389727C CN100389727C (en) | 2008-05-28 |
Family
ID=9928797
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNB028285050A Expired - Lifetime CN100389727C (en) | 2002-01-09 | 2002-12-10 | surgical tools |
Country Status (11)
| Country | Link |
|---|---|
| US (1) | US20040098039A1 (en) |
| EP (1) | EP1463455B1 (en) |
| JP (1) | JP2005512754A (en) |
| CN (1) | CN100389727C (en) |
| AT (1) | ATE300915T1 (en) |
| AU (1) | AU2002350926A1 (en) |
| CA (1) | CA2471913C (en) |
| DE (1) | DE60205407T2 (en) |
| ES (1) | ES2247400T3 (en) |
| GB (1) | GB2383952B (en) |
| WO (1) | WO2003057053A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106109089A (en) * | 2016-07-27 | 2016-11-16 | 苏州贝尔锋医疗器械有限公司 | Continuous shear stress is popped one's head in |
| CN107498595A (en) * | 2017-10-12 | 2017-12-22 | 苏州毕方鸟服饰有限公司 | Scissors tweezer |
| CN112545748A (en) * | 2019-09-26 | 2021-03-26 | 马尼株式会社 | Ophthalmological forceps |
Families Citing this family (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6761725B1 (en) * | 1999-09-08 | 2004-07-13 | Jeffrey Grayzel | Percutaneous entry system and method |
| FR2942128B1 (en) * | 2009-02-19 | 2011-02-11 | Moria Sa | SURGICAL FORCEPS |
| DE102009033015A1 (en) * | 2009-07-02 | 2011-01-05 | Geuder Ag | Surgical instrument i.e. tweezer, for use in ophthalmology field, has operating region fixed between support and end of fingers, where fingers are tiltable to end in closing movement during pressure actuation and under effect of support |
| US9320534B2 (en) | 2012-12-13 | 2016-04-26 | Alcon Research, Ltd. | Fine membrane forceps with integral scraping feature |
| CN103204318B (en) * | 2013-04-28 | 2016-07-27 | 黄俊龙 | An alcohol cotton ball bottle |
| GB2513613A (en) * | 2013-05-01 | 2014-11-05 | Gerard Brooke | Electrosurgical device |
| US10973682B2 (en) | 2014-02-24 | 2021-04-13 | Alcon Inc. | Surgical instrument with adhesion optimized edge condition |
| CN104644243B (en) * | 2014-12-29 | 2018-03-06 | 青岛市中心医院 | The Electric tweezerses of grip force can be controlled |
| TW201815356A (en) | 2016-10-18 | 2018-05-01 | 諾華公司 | Surgical instrument with surface texture |
| EP3505093B1 (en) * | 2017-12-28 | 2020-07-22 | Sottile, Sebastiano | Multifunctional anatomical tweezers |
| CN108618832B (en) * | 2018-03-27 | 2020-10-27 | 青岛市妇女儿童医院 | A surgical special combined forceps scalpel |
Family Cites Families (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4140125A (en) * | 1976-02-25 | 1979-02-20 | Med-Pro, Ltd. | Surgical tape device |
| DE2831989A1 (en) * | 1977-09-10 | 1979-03-22 | Kai Cutlery Center Co | KNIVES, IN PARTICULAR CARVING KNIVES |
| US4331739A (en) * | 1978-10-10 | 1982-05-25 | Allied Corporation | Amorphous metallic strips |
| US4318313A (en) * | 1980-03-10 | 1982-03-09 | Tartaglia John A | Tweezer forceps |
| DE3201616A1 (en) * | 1981-01-22 | 1982-11-25 | Duke University, 27706 Durham, N.C. | FOREIGN BODY PLIERS |
| US4452106A (en) * | 1982-01-22 | 1984-06-05 | Tartaglia John A | Tool having articulated opposing jaws |
| JPS62241675A (en) * | 1985-12-23 | 1987-10-22 | 株式会社井上ジャパックス研究所 | Forcep |
| US4753235A (en) * | 1986-09-24 | 1988-06-28 | Hasson Harrith M | Forceps-type surgical instrument |
| US4715639A (en) * | 1986-12-04 | 1987-12-29 | Nicoletta Roger A | Grasping utensil |
| JPH0315575U (en) * | 1989-04-21 | 1991-02-15 | ||
| US5411512A (en) * | 1992-01-24 | 1995-05-02 | Leonard Bloom | Guarded surgical scalpel |
| US5427088A (en) * | 1992-02-18 | 1995-06-27 | Graether; John M. | Apparatus for inserting a pupil expander |
| US5331739A (en) * | 1992-03-20 | 1994-07-26 | Lea Basangy | Disposable nail cutting nippers |
| IT1278627B1 (en) * | 1992-06-18 | 1997-11-27 | Flumene Antonio Giovanni | SAFETY SCALPEL FOR MEDICAL USE WITH AUTOMATIC RETRACTABLE BLADE INSIDE A SHEATH - PROTECTIVE HANDLE. |
| CN2185570Y (en) * | 1993-06-08 | 1994-12-21 | 赵献奎 | Medical surgical pincette |
| US6000136A (en) * | 1998-04-27 | 1999-12-14 | The Stanley Works | Knife handle |
| DE19940484A1 (en) * | 1999-08-26 | 2001-04-05 | Berger Frank | Butcher's knife comprises handle body with holder to take inserted blade and locking slide to secure blade in place, giving common handle for number of blade types |
| US6254621B1 (en) * | 2000-06-01 | 2001-07-03 | S & S Surgical Products, Inc. | Closed channel retractable surgical blade device and associated method |
-
2002
- 2002-01-09 GB GB0200393A patent/GB2383952B/en not_active Expired - Lifetime
- 2002-12-10 ES ES02785639T patent/ES2247400T3/en not_active Expired - Lifetime
- 2002-12-10 JP JP2003557419A patent/JP2005512754A/en active Pending
- 2002-12-10 CA CA2471913A patent/CA2471913C/en not_active Expired - Lifetime
- 2002-12-10 DE DE60205407T patent/DE60205407T2/en not_active Expired - Lifetime
- 2002-12-10 EP EP02785639A patent/EP1463455B1/en not_active Expired - Lifetime
- 2002-12-10 AT AT02785639T patent/ATE300915T1/en not_active IP Right Cessation
- 2002-12-10 CN CNB028285050A patent/CN100389727C/en not_active Expired - Lifetime
- 2002-12-10 AU AU2002350926A patent/AU2002350926A1/en not_active Abandoned
- 2002-12-10 WO PCT/GB2002/005594 patent/WO2003057053A1/en not_active Ceased
- 2002-12-12 US US10/469,501 patent/US20040098039A1/en not_active Abandoned
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106109089A (en) * | 2016-07-27 | 2016-11-16 | 苏州贝尔锋医疗器械有限公司 | Continuous shear stress is popped one's head in |
| CN107498595A (en) * | 2017-10-12 | 2017-12-22 | 苏州毕方鸟服饰有限公司 | Scissors tweezer |
| CN112545748A (en) * | 2019-09-26 | 2021-03-26 | 马尼株式会社 | Ophthalmological forceps |
| CN112545748B (en) * | 2019-09-26 | 2022-11-15 | 马尼株式会社 | Ophthalmological forceps |
Also Published As
| Publication number | Publication date |
|---|---|
| CA2471913A1 (en) | 2003-07-17 |
| JP2005512754A (en) | 2005-05-12 |
| ES2247400T3 (en) | 2006-03-01 |
| CN100389727C (en) | 2008-05-28 |
| US20040098039A1 (en) | 2004-05-20 |
| EP1463455B1 (en) | 2005-08-03 |
| GB2383952A (en) | 2003-07-16 |
| ATE300915T1 (en) | 2005-08-15 |
| GB0200393D0 (en) | 2002-02-27 |
| WO2003057053A1 (en) | 2003-07-17 |
| DE60205407T2 (en) | 2006-05-24 |
| EP1463455A1 (en) | 2004-10-06 |
| DE60205407D1 (en) | 2005-09-08 |
| CA2471913C (en) | 2011-07-26 |
| GB2383952B (en) | 2005-01-19 |
| AU2002350926A1 (en) | 2003-07-24 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN1622788A (en) | Surgical tool | |
| CN101184445B (en) | Surgical instrument | |
| JP7436447B2 (en) | Disposable suction valve for endoscope | |
| CN111132623A (en) | Jaws for clip applier | |
| US4452106A (en) | Tool having articulated opposing jaws | |
| US5578050A (en) | Ergonomic surgical scalpel sleeve | |
| CN108451577A (en) | Become the operation applicator for including the insertion piece for grip module | |
| US10716588B2 (en) | Surgical instrument | |
| EP3363401A1 (en) | Robotic manipulator interface for hinged surgical tools | |
| EP1254636A3 (en) | Surgical instrument for stapling and/or cutting with a wavy tissue interface | |
| EP1527746A3 (en) | Vessel sealing forceps with disposable electrodes | |
| KR20190117629A (en) | Jaw assembly and biopsy sample collection member for surgical instruments | |
| EP2097307A1 (en) | Instrument | |
| US20090030448A1 (en) | Surgical forceps, in particular an ophthalmologic microsurgical forceps | |
| US6652552B2 (en) | Actuating handle for a surgical instrument | |
| EP0197065B1 (en) | Surgical staple remover | |
| CN107072675A (en) | Disposable module surgical operating instrument | |
| US20040073232A1 (en) | Surgical instrument | |
| JP2005512754A5 (en) | ||
| US5405353A (en) | Microsurgical needle holder | |
| JP6674963B2 (en) | Disposable kerrison rongeur | |
| US8512233B2 (en) | Curved laryngoscope and operation instrument assembly applying the same | |
| CN114948094B (en) | Surgical tools with reduced actuation force | |
| JP2006230767A (en) | Resin forceps | |
| JP3194580U (en) | Suction |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| ASS | Succession or assignment of patent right |
Owner name: MOREA CO., LTD. Free format text: FORMER OWNER: FULCRUM MEDICAL DEVICES LTD. Effective date: 20130605 |
|
| C41 | Transfer of patent application or patent right or utility model | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20130605 Address after: French Anthony Patentee after: Morea Limited by Share Ltd. Address before: London, England Patentee before: FULCRUM (MEDICAL DEVICES) Ltd. |
|
| CX01 | Expiry of patent term |
Granted publication date: 20080528 |
|
| CX01 | Expiry of patent term |